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Home My WebLink About2016-01552 - mechanical CITY OF ORONO * Z 0 1 6 — 0 1 5 5 2 * ' 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2016 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3300 FOX ST PIN : OS-117-23-44-0003 LEGAL DESC : REG. LAND SURVEY NO. 1358 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 5,800.00 NOTE: ALL TESTING RENORTS SHALL BE ON SITE AT FINAL INSPECTION. REPLACE HEATING SYSTEM(AMANA) APPLICANT MECHANICAL 72.50 STATE SURCHARGE MECH(VALUATION) 2.90 NORTHERN'S ONE HOUR MAIL-[N FEE 2.00 9431 ALPINE DRIVE RAMSEY, MN 55303- TOTAL 77.40 (763)323-7597 Payment(s) Minnesota State License#: BUIL-MB003479 CREDIT CARD 4674 77.40 OWNER TRUBECK, WILLIAM &JUDITH 3300 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buildin�Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will cxpire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I AO days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. i . � ! i L �� C_�� _ / < < /` �- , � � % �i � i' � � Applicant Permitec Signature ' Date Issued By Signature Date De�. 19. 201b 1 : 52PM No, 2957 P, 1�5 • FOR CI1'Y USE ONLY , City of Oro»o � ; _ . ; ��' P.O.Box 6b DT(e ileccivcd: �--I��`�I��Permit�l L �,' � � � - � 2750 f(cllcy Parkway � Crysiol Bay,MN 55323 Appcoved By: i(� Amount�� Phonc(952)249•4600 Fux(952)249-4616 y�`q'f�SHO��G� CYTY pF QRpNO—MECHANICAL PEitMIT (nu Con�mcrcial permits musl be approved by the Building Official or Inspcctor and/orPiro Marshall) GENERAL INk'O�MATION � 1. You may apply for mechanicaI pern�its by mAit or iu person at the Ciry officcs. ApplicAtions will be reviewed and A perniit will be issried within nvo working days. 2. Permi[cArds will be scnt by rctum mail after tt roview is completed. PERMITS ARE NOT VAL1D UNTII..YOU RECEaV�A P�RMIT. WORK MUST NOT EEG1N UNTIL THE P�RDIIT CARD IS POSTEb ON TNE JOB SITE. 3. MechRnical Desi�ns—Complctc calculations,details and specifications are rec�uired for each heating,vcntflation,humidification-dehumidificfttioa�,aud�ir condiiioning installaYion including heat loss/heat gain calculatioi�,desigu temperatures,equipment ratings and ideutificatiot�as to . type,nit�nufActUrer Rnd model. Data shall bo presented on form provided. 4. �Vhcn auy��cw constructio��or remodeling is involved,a separate briilding permir must be obtained. 5. AIl work must be done;n acea�dAnce with tl�e Unifor►n Meck,anical Code/State Buildii�g Code requiremeuts. G. All work mirst be inspected(rough-iu and final). CAII(952)249•4600. (24-48 houi'liotice required) 7. House Heating'�est Record inust be submitted before final. TYPE OF PERMIT Check All That A 1 ) �esidential ❑Co�mnereial(Approval�tequircd) jBackflow Device:�AVA [f PVB] ❑New ❑Additional ❑kepai�� LrJ�Zeplace Job Site/Owner In�ormation: � l Site Address: � ��. � i ��,,�! ��+�ner: ��'�1«l.� 1'(�,�4�L�/fL- Mailing Address: �,�0�Y� ,51�Z�L�" City; (�/�{, Zip: ✓�-�J� Home Phone: �l'J�J �'� I�"U=�l�' Alternate Phone: � Contractor Information: ��,,( � ,� A (� r Contractor: {U�'��LQ�rI� S �I W C1u��' Contact Person: '�h � Address: � �,(. ��ri��. State Bond#; �,� _�}-� City: �. Zip.r' .�Expiration Date: � 1�J �� Phone: �U1zj",�;��j'��7� Alternate Phone: �1 [� Insurance—Current: � � 1( 1 �,} Ir�-CD- Dec, 19. 2016 i : �2PM No. 2957 P. 2,/5 ' , . .- : — � ,�MECHANICAL��5TEIVIS BFIl��_INSTALL�D - :� Note:All Geotltermal Systems will now require a Si(e Plan&Review by our BL►ilding Official. IS THIS G�OTHERNIAL? �]Yes [�No H�A'fING SYSTEMS Quantity: � Make: Model: V 1`�' Fuel: Flue Size: Input�7Us: � Output BTUs: / crM: COOLING SX'S'�EMS Quantity: � `}"c Makc: Model: Tons: H.Power FIREPLACES ❑ Gas P�ctory Firoplace Brand Name: ❑ �'Vood Burning Pireplace ❑ tiVood Stove Model No.: ❑ Wood Stove witl�Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirci�lating cfm [f No. gath Exl►aust(must have duct outside) cfm ❑ No. Other Fatts� �.oCa[ions cfiu FUEL STORA.G� (hlirs�be approverl by FYre Mnrslrn/!if propasbrg to nbn�fdon innk in place.) ❑ Installation ❑ Rc,noval Fnel 0�1� gallons ❑ Undc,-ground ❑Inside ❑Outsiflc LP C3fls: gallous Other: �AS LINE ONLY ❑ Outdoor Grill �] Other/List What&Whu-e: 2 Dec, 19, 2016 1 ; 52PM No. 2957 P. 3/5 . � �, :.... ..: ,. � _:, pE��MrT��E c.AI.cLI�4��zQN'�. ., ;�:. . �:.. . l. CONTRACT PRICE *is 1.25%of contr�ct price with a(Minimum Fee of$50.00) "..U1,4_) x.0125$, �d�"J`�' (Co�itraCl priCe) (minin�vm 550.00) 2. S"�'A'I'�SURCHAR�E r��U �� X.000s � � � (conlrect price) 3. PQSTAGE�HANDLING(Only on MAiI-1n ApplicAtlons) $ 2 4. TOTA,X��tMIT FEE(Add Liiics 1-3 Above) $ , 1��•�O � � CONTRACT PRICE or JO� COST means the actual or estimaced dollar amount charged for the pennitted work including m�terials, labor,profit,and other fixed eosks. It is tlie amount to be charged to the customer for the work done. If any material,equipment,labor or ins►allAtions are fiirc►ished by the o�vner, tenant or auy othcr pArty, the reasonable market value of such items must be added to the estimated cost ar contract price for per,nit fee purposcs. Yn the event tl�at tl�ere is a dispute on the amount of the job cost, tl�e Ciry may request the submission of a signcd co��y of the actual contract. . `._ _ IVIEGHAIVIGA�';f'� ' �.T APPI:ICATION'-i�G � IVIENT` '„ --.;�. The tindersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accorciance �vith the o�•dinances of the City and tl�e regulations of the State of Minnesota,and certifies that all statements made on this application are cosnplete,true and coi�rect. Applicant's Signature: Date: � 1� 3 �, �?_�-- �' � ��._._ __ _ • ---- __ -- D/►TE 1 � TIME � CITY OF ORONO CALLED IN -� � � INSPECTION OTICE ,�`t— SCHEDULED �-�b -! �7 �. �'� PERMIT NO.��I_:; ,., li�.�`- �__COMP. ADDRESS ��"� � OWNER --- �� LEPH NE NO� a–�� -��l '�+.�r� `�-=��,1 CONTRACTOR �✓� - r � DESCRIPTION ��-e� �� `-'� lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEylO-.SITE ❑ SEPTIC INSTALL �Q, pWN NTRACTOR TO MEET YOU:�YES_NO y COMMENTS: � �� — -��-� v-�c��–e, � v.�,'�,., �c, � � � 0 � � -C/K✓/`iV �-Q��G!' "U � � - (/� � J .-�ci va ,�� .v� Q — �rii i�.. J � � �31.7�' � �� • �V/' � w C � j � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT VYORK 8 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY O ❑CORRECT WfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali ror the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: T��- �� — Inspector. White CopyAnspector's File Cenary CopylSite Notks